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目的分析临床护理路径在手外科交腹皮瓣术患者护理中的应用效果。方法 80例手外科交腹皮瓣术患者,随机分为对照组及观察组,各40例。对照组采用常规护理措施,观察组采用临床护理路径,比较两组护理满意度、护理前和护理后的焦虑状态、生活质量。结果护理前,两组患者的焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SAS评分均较护理前降低,且观察组降低程度优于对照组,差异均具有统计学意义(P<0.05)。观察组护理满意度95.0%高于对照组70.0%,差异具有统计学意义(χ~2=8.658,P<0.05)。护理前,两组患者的生活质量评分比较,差异均无统计学意义(P>0.05);护理后,两组患者的生活质量评分均较护理前升高,且观察组升高程度优于对照组,差异均具有统计学意义(P<0.05)。结论临床护理路径在手外科交腹皮瓣术患者护理中的应用显著,有利于改善患者的不良心理状态,提高护理满意度,改善预后情况,值得推广。
Objective To analyze the clinical effect of clinical nursing in the nursing of patients undergoing hand surgeries. Methods Eighty patients with hand surgically treated abdominal flap were randomly divided into control group and observation group, 40 cases in each group. The control group used routine nursing measures, and the observation group adopted the path of clinical nursing. The satisfaction degree of nursing, the anxiety state before nursing and after nursing were compared, and the quality of life was compared. Results Before nursing, there was no significant difference in anxiety self-rating scale (SAS) between the two groups (P> 0.05). After nursing, the SAS scores of both groups were lower than those before nursing, and the degree of decrease Compared with the control group, the differences were statistically significant (P <0.05). The satisfaction rate of nursing in the observation group was 95.0% higher than that of the control group (70.0%), the difference was statistically significant (χ ~ 2 = 8.658, P <0.05). Before nursing, there was no significant difference in quality of life between the two groups (P> 0.05). After nursing, the quality of life scores of both groups were higher than those before nursing, and the level of observation group was better than that of control group Group, the differences were statistically significant (P <0.05). Conclusion The application of clinical nursing pathway in the hand surgery of hand surgically treated abdominal flap surgery is significant, which is helpful to improve the patients’ bad psychological state, improve the nursing satisfaction and improve the prognosis, which is worth to be popularized.